Throat Sounds and Mucus Sensation: ENT Insights - Otolaryngology

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There is a sound when swallowing saliva, and there is a frequent urge to clear the throat and cough?


Hello Doctor, I have a concern.
When I swallow saliva, I hear a sound in my right throat (only I can hear it), but I do not experience this sensation when eating or drinking.
Occasionally, I feel a slight sensation of mucus in my throat (a feeling of obstruction, but no foreign body sensation) and I want to cough it out.
My breathing is normal.
Last week, I visited an ENT specialist, and after an endoscopy, they found and removed a polyp, but everything else was diagnosed as normal.
Could you please advise what condition this might be? Could it be a viral infection or an epiglottic cyst, etc.? Thank you.

Randy, 20~29 year old female. Ask Date: 2019/03/24

Dr. Zheng Jueyi reply Otolaryngology


Hello, if an endoscopic examination has already been performed, a vallecular cyst can likely be ruled out.
The sensation of frequent phlegm in the throat may be related to chronic pharyngitis.
It is recommended to drink plenty of water and to avoid spicy foods.
If there are issues such as gastroesophageal reflux or smoking, those should be addressed first.
Wishing you safety and good health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2019/03/24

More Info


When it comes to understanding throat sounds and sensations of mucus, it's essential to consider various factors that could contribute to your symptoms. Based on your description, it seems that you are experiencing a phenomenon where you hear a sound in your throat when swallowing saliva, along with a sensation of mucus or a feeling of obstruction. This can be quite concerning, especially if it is accompanied by a feeling of discomfort or the urge to clear your throat.

First, let's address the sound you hear when swallowing. This sound, which you describe as a noise that only you can hear, could be related to several factors. One possibility is that it is a normal physiological sound produced by the movement of structures in your throat, such as the muscles and cartilage around the larynx and pharynx. These sounds can sometimes be more pronounced in quiet environments or when you are particularly aware of them.
The sensation of mucus or a feeling of obstruction in your throat can be attributed to several causes. Post-nasal drip is a common condition where mucus from the nasal passages drips down the back of the throat, leading to a sensation of congestion or the need to clear your throat. This can occur due to allergies, sinus infections, or even environmental irritants. Given that you have a history of nasal issues, this could be a contributing factor.

Another possibility is that the sensation of mucus could be related to the recent removal of a polyp. After such a procedure, it is not uncommon for the throat to feel different as the tissues heal. Swelling or changes in the throat's lining can lead to sensations that may feel like mucus or obstruction.
You also mentioned that your breathing is normal, which is a positive sign. If you were experiencing significant respiratory distress or difficulty breathing, that would warrant immediate medical attention. However, since your breathing is unaffected, it suggests that the issue may be more localized to the throat rather than a systemic problem.

Regarding the potential for viral infections or other conditions like a vallecular cyst (a type of cyst that can form in the throat), these are possibilities that your ENT specialist would consider. However, since you have already undergone an endoscopic examination and had a polyp removed, it is likely that your ENT doctor has ruled out significant abnormalities.

In terms of management, if your symptoms persist or worsen, it would be advisable to follow up with your ENT specialist. They may recommend further evaluation or treatment options, such as allergy management if post-nasal drip is suspected. Staying hydrated, using saline nasal sprays, and avoiding irritants can also help alleviate symptoms.

In summary, the sounds you hear when swallowing and the sensation of mucus could be due to normal physiological processes, post-nasal drip, or residual effects from your recent polyp removal. Monitoring your symptoms and maintaining communication with your healthcare provider will be crucial in managing your condition effectively. If you experience any new symptoms, such as pain, difficulty swallowing, or changes in your voice, do not hesitate to seek medical advice promptly.

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